The role of manual therapy in the management of temporomandibular joint disorder: A scoping review

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Authors
Arefian, Nesa
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Degree
Master of Osteopathy
Grantor
Unitec, Te Pūkenga - New Zealand Institute of Skills and Technology
Date
2023
Supervisors
Anderson, Helen
Zoellner, Anja
Type
Masters Thesis
Ngā Upoko Tukutuku (Māori subject headings)
Keyword
temporomandibular disorders (TMD)
manual therapy
osteopathic medicine
scoping reviews
Citation
Arefian, N. (2023). The role of manual therapy in the management of temporomandibular joint disorder: A scoping review (An unpublished 90-credit thesis submitted in fulfilment of the requirements for the degree of Masters of Osteopathy) Unitec, Te Pūkenga - New Zealand Institute of Skills and Technology https://hdl.handle.net/10652/6292
Abstract
OBJECTIVE To explore the breadth and depth of the role of manual therapy (MT) in the management of temporomandibular joint disorder (TMD) in literature and to identify areas for future research. DESIGN Scoping review BACKGROUND TMD is highly prevalent among people causing pain and affecting daily life and causing poor lifestyle. Recent research shows that regarding the individual and social burdens of TMD, there is a need to consider multidisciplinary treatment options including more conservative treatment plans. This scoping review investigates the role of MT as a conservative and non- invasive treatment to manage TMD. LITERATURE SEARCH PubMed, Ebsco, ScienceDirect: From 2010- 2021 STUDY SELECTION CRITERIA We included published in English, peer-reviewed, full-text available online, all ages, MT including (physiotherapy and osteopathy) interventions. DATA SYNTHESIS Arksey and O'Malley's framework for guided data synthesis was used. RESULTS Following the removal of duplicates and abstract screening, 36 studies were included and divided into the following categories: • Manual Therapy (MT) • High-velocity low-amplitude (HVLA)/thrust Manipulation • Manual Therapy (MT) and Therapeutic Exercises (TE) • Manual Therapy (MT) and Splint Therapy (ST), • Systematic reviews in Manual Therapy (MT) in TMD treatment CONCLUSION: This scoping review shows that most studies support MT as an effective treatment for TMD. MT improves the range of mouth opening, decreases the pain, and improves patients’ quality of life. MT is a cost effective and conservative therapy in comparison with other treatment modalities. However, there is a need to conduct more comprehensive research with larger sample sizes and a longer follow up.
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